BMJ  2003;327 (29 November), doi:10.1136/bmj.327.7426.0-f

Current assessment methods overestimate coronary risk

Current scoring methods for coronary heart disease may overestimate risk. Brindle and colleagues (p 1267) prospectively studied 6643 men participating in the British regional heart study and found that scoring methods derived from the Framingham study overpredicted risk by about 50%. The scores could be adjusted by dividing the calculated score by the amount of overprediction observed. This would improve predictive accuracy in the British population, but further refinements are required if treatment decisions are to be optimal.


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Relevant Article

Predictive accuracy of the Framingham coronary risk score in British men: prospective cohort study
Peter Brindle, Jonathan Emberson, Fiona Lampe, Mary Walker, Peter Whincup, Tom Fahey, and Shah Ebrahim
BMJ 2003 327: 1267. [Abstract] [Full Text] [PDF]




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